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This previously healthy 30YO female presented with several weeks of decreased vision in her left eye. Vision was 20/20 OD and 20/60 OS. MultiColor imaging shows bilateral multifocal variably sized yellow-white choroidal lesions throughout each posterior pole. A large serous detachment occupies the entire left macula, which is confirmed on SD-OCT. Fluorescein angiography of the… Read More

This healthy 10YO female presented with these asymptomatic bilateral lesions. Vision was 20/20 OU. Fundus photography of her right eye shows multiple bear track lesions scattered throughout the posterior pole. An interlacing pattern of whitish deep retinal lines courses through the macula. The pigmented lesions are hypo-autofluorescent. Similar findings were noted in the left eye… Read More

This 52YO diabetic male rodent has a history of proliferative diabetic retinopathy and full panretinal photocoagulation (PRP). Vision was stable at 20/30. Optos color RGB imaging shows full PRP scarring. The macula is clinically ischemic with some vascular sheathing. Triton swept-source OCT shows nasal and central atrophy consistent with Mickey Mouse Maculopathy (MMM). Created by… Read More

This 61YO male presented without a visual complaint. He was a +6 diopter hyperope OD and +5 diopter hyperope OS. Vision was 20/200 OD from refractive amblyopia and 20/40 OS. Triton color imaging and swept-source OCT show bilateral chorioretinal folds. Optos fundus autofluorescence (FAF) shows variable hyper- and hypo-FAF changes from the folds, and fluorescein… Read More

This 31YOF with a known history of retinitis pigmentosa (RP) presented with 2 days of decreased vision OD. There was a history of trauma to her right eye at 2 years of age. Vision was counting fingers OD and 20/120 OS. Slit lamp examination OD revealed a non-central corneal scar and anterior synechia consistent with… Read More

This 39YO male presented with 4 months of bilateral vision loss. He was diagnosed elsewhere with chronic idiopathic central serous chorioretinopathy (ICSC) and was placed on azathioprine and spironolactone 3 months earlier. There was no history of steroid use or injections. Vision was 20/120 OD and 20/200 OS. MultiColor imaging shows macular pigmentary changes that… Read More

This 70YO female was referred for asymptomatic age-related macular degeneration. Vision was 20/30 OD and 20/25 OS. Triton color imaging of both eyes shows symmetrical ribbon subretinal drusenoid deposits. On swept-source OCT, these lesions appear as hyperreflective material mostly between the RPE and ellipsoid zone (EZ). Learning Points: Subretinal drusenoid deposits (SDD) are polymorphous light-gray… Read More

­This 65YO male presented with chronic bilateral vision loss. Vision was 20/200 OD and 20/100 OS. There was no past medical history. Optos color RG imaging of his right eye shows diffuse whitish, spider web-like fibrillar vitreous debris. In vivo corneal confocal microscopy reveals amyloid deposits. Sequential therapeutic and diagnostic vitrectomy surgeries were performed on… Read More

­­This 70YO male presented with six months of vision loss. He has a history of severe Crohn’s disease. He has undergone 9 bowel surgeries resulting in short bowel syndrome being treated with total parenteral nutrition. Vision was 20/50 OD and 20/40 OS. Triton color imaging shows numerous smaller subretinal yellow-white dots. These dots are well-visualized… Read More

This 52YO male presented with 2 weeks of vision loss OD. He had a complicated ocular history of multiple prior surgeries elsewhere, including cataract surgery OD 2 months earlier and multiple retinal detachment surgeries OS. Vision was 20/30 OD and LP OS. Pressure was 8mmHg with no wound leaks on slit lamp OD. MultiColor imaging… Read More